PAULINA A. KISSELEV PHD
NPI 1831334069
Psychologist in Seattle, WA

Active since December 02, 2008PECOS EnrolledAccepts Medicare Assignment
1711 12TH AVE, SEATTLE, WA 98122(206) 226-2715 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paulina A. Kisselev Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULINA A. KISSELEV PHD (NPI 1831334069) is an individual psychologist in Seattle, Washington, licensed in Washington (00003944) and active in the NPI registry since December 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1831334069
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NamePAULINA A. KISSELEVCredential: PHD
Location Address1711 12TH AVESeattle, WA 98122-2435
Mailing Address1711 12th AveSeattle, WA 98122-2435 · (206) 226-2715
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 2, 2008
NPI 1831334069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · 00003944
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 00003944 (WA)
1711 12TH AVE, Seattle, WA 98122

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paulina A. Kisselev Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567510712
PECOS Enrollment IDI20090428000469
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1711 12TH AVE, SUITE 201
SEATTLE, WA 98122
Art Therapist
1711 12TH AVE
SEATTLE, WA 98122
Counselor (Mental Health)
1711 12TH AVE
SEATTLE, WA 98122
Obstetrics & Gynecology
1711 12TH AVE
SEATTLE, WA 98122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paulina Kisselev's NPI number?

The NPI number for Paulina Kisselev is 1831334069. It was assigned to this individual provider in the NPPES registry on December 2, 2008.

Where is Paulina Kisselev located?

Paulina Kisselev practices at 1711 12th Ave, Seattle, WA 98122. The listed phone number is (206) 226-2715.

What is Paulina Kisselev's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Paulina Kisselev enrolled in Medicare?

Yes. Paulina Kisselev is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paulina Kisselev accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Paulina Kisselev as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paulina Kisselev was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.